Individual
DR. FELY GRECIA PURISIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 GRISTMILL LN, UPPER SADDLE RIVER, NJ 07458-1316
(201) 934-8658
(201) 934-1383
Mailing address
1005 NEW YORK AVE, UNION CITY, NJ 07087-4127
(201) 863-5065
(201) 934-1383
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA036209
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0770809
—
NJ
Enumeration date
09/29/2006
Last updated
07/09/2007
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